Individual
JANIS C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
662 GRAND CENTER RD, CHICKAMAUGA, GA 30707-1854
(423) 718-6322
Mailing address
662 GRAND CENTER RD, CHICKAMAUGA, GA 30707-1854
(423) 718-6322
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007271
GA
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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